Jacob J Dutcher, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Amsterdam, New York. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St. Mary's Healthcare and his current practice location is
427 Guy Park Ave, Amsterdam, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 770-7518.
Jacob J Dutcher is licensed to practice in New York (license number 541845-1) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093888760.
Provider's Profile
| Full Name | Jacob J Dutcher |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 18 Years |
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| Location | 427 Guy Park Ave, Amsterdam, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob J Dutcher graduated from nursing school in 2006
NPI Data:
- NPI Number: 1093888760
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 10/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 5890892509
- Enrollment ID: I20070515000016
Medical Identifiers
Medical identifiers for Jacob J Dutcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093888760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 541845-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St. Mary's Healthcare | 7618960709 | 79 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob J Dutcher allows following entities to bill medicare on his behalf.
| Entity Name | St. Mary's Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518926401
PECOS PAC ID: 7618960709
Enrollment ID: O20040405001628 |
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| Entity Name | Kwiat Eye And Laser Surgery Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275763468
PECOS PAC ID: 4789722810
Enrollment ID: O20091111000095 |
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| Entity Name | Amsterdam Rec Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1245580711
PECOS PAC ID: 5698911170
Enrollment ID: O20130430000000 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob J Dutcher is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jacob J Dutcher, CRNA
427 Guy Park Ave,
Amsterdam, NY 12010-1064
Ph: (518) 770-7518 | Jacob J Dutcher, CRNA
427 Guy Park Ave,
Amsterdam, NY 12010-1064
Ph: (518) 770-7518 |
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